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Tramadol

Also known as: tram

A synthetic opioid analgesic, tramadol is used to treat moderate pain and can be considered a medium-strength opioid. Tramadol also has the unusual effect of being a serotonin releasing agent and a serotonin reuptake inhibitor, and as a consequence should not be taken in excess due to the risk of serotonin syndrome. Risk of seizures above 300mg doses.

Dosage

Oral

Common: 100-250mg
Heavy: 250-400mg
Light: 50-100mg

NOTE: Tramadol has a ceiling dose, where recreational effects are not increased. Risk of seizure at doses over 300mg. Tramadol decreases the seizure threshold, use extreme caution. Dosing insufflated is ineffective.

Duration

Onset: 1 hours
Duration: 5-7 hours
After effects: 1-12 hours

Timeline

Onset
1 hours
Peak
5-7 hours
After
1-12 hours
010h20h
Typical
Extended range

Effects

euphoriaelevated moodoverall feeling of contentednessitchingdrowsinessvomitingurinary retentionnauseaconstipationrisk of seizure above 300mg

Avoid

benzos, alcohol, and other opiates

Drug Interactions

alcohol

Heavy CNS depressants, risk of seizures. Both substances potentiate the ataxia and sedation caused by the other and can lead to unexpected loss of consciousness at high doses. Place the affected individual in the recovery position to prevent vomit aspiration from excess. Memory blackouts are likely.

Dangerous
amphetamines

Tramadol and stimulants both increase the risk of seizures.

Dangerous
amt
Dangerous
benzodiazepines

Central nervous system- and/or respiratory-depressant effects may be additively or synergistically present. Vomit aspiration is a risk when passed out, lay down in recovery position if ingested.

Dangerous
cocaine

Tramadol and stimulants both increase the risk of seizures.

Dangerous
dextromethorphan
Dangerous
ghb/gbl

The sedative effects of this combination can lead to dangerous respiratory depression.

Dangerous
ketamine
Dangerous
lithium

Tramadol and Lithium both increase the risk of seizures and serotonin syndrome.

Dangerous
maois
Dangerous
mdma

Tramadol and stimulants both increase the risk of seizures.

Dangerous
mxe
Dangerous
opioids

Concomitant use of tramadol increases the seizure risk in individuals taking other opioids. These agents are often individually epileptogenic and may have additive effects on seizure threshold during coadministration. Central nervous system- and/or respiratory-depressant effects may be additively or synergistically present

Dangerous
pcp
Dangerous
ssris
Dangerous
2c t x
Unsafe
2c x

Tramadol is well known to lower seizure threshold and psychedelics raise the risk of seizures.

Unsafe
5 meo xxt
Unsafe
dmt

Tramadol is well known to lower seizure threshold and psychedelics also cause occasional seizures.

Unsafe
dox

Tramadol is well known to lower seizure threshold and psychedelics also cause occasional seizures.

Unsafe
lsd

Tramadol is well known to lower seizure threshold and psychedelics also cause occasional seizures.

Unsafe
mescaline

This combination can cause seizures due to the lowering of the threshold by tramadol and the potential of mescaline to cause seziures.

Unsafe
mushrooms

Tramadol is well known to lower seizure threshold and psychedelics also cause occasional seizures.

Unsafe
nbomes

Tramadol is well known to lower seizure threshold and NBOMes have also shown a tendency to cause severe seizures

Unsafe
nitrous

Both substances potentiate the ataxia and sedation caused by the other and can lead to unexpected loss of consciousness at high doses. While unconscious, vomit aspiration is a risk if not placed in the recovery position. Memory blackouts are likely.

Caution
caffeine
Low Risk & No Synergy
cannabis
Low Risk & Synergy

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